Does the presence of anterior mandibular teeth increase the incidence of denture stomatitis?

PURPOSE To compare the frequency of denture stomatitis (DS) under maxillary complete dentures (CDs) in patients with opposing mandibular distal extension removable partial dentures (RPDs) and CDs. MATERIALS AND METHODS Participants included 365 maxillary CD wearers (241 women, mean age 70.5 ± 13.2 years; 124 men, mean age 71.5 ± 10.4 years) from 7 rest homes in Istanbul. A total of 268 had mandibular CDs; 97 had mandibular distal extension RPDs. Two independent, calibrated examiners performed oral examinations. Presence of maxillary denture-related stomatitis and the effect of risk factors on DS were evaluated and recorded. RESULTS The frequency of palatal DS (Newton I-III) was 45.1% (n = 121) in the mandibular CD group and 49.5% (n = 48) in the mandibular distal extension RPD group, a statistically insignificant difference (p= 0.4). Factors significantly associated with palatal DS were maxillary denture age (p= 0.02), reduced occlusal vertical dimension (p= 0.04), and nocturnal denture wear (p= 0.03). CONCLUSION In this study, DS beneath maxillary CDs did not differ between mandibular distal extension RPD and CD wearers. The presence of mandibular anterior teeth did not influence the occurrence of palatal DS.

[1]  A. Kossioni.  The prevalence of denture stomatitis and its predisposing conditions in an older Greek population. , 2011, Gerodontology.

[2]  Z. Loewy,et al.  Epidemiology and etiology of denture stomatitis. , 2011, Journal of prosthodontics : official journal of the American College of Prosthodontists.

[3]  M. Compagnoni,et al.  Maxillary complete denture movement during chewing in mandibular removable partial denture wearers. , 2008, Gerodontology.

[4]  P. Rompré,et al.  Favoring Trauma as an Etiological Factor in Denture Stomatitis , 2008, Journal of dentistry research.

[5]  P. Rompré,et al.  The relationship of myceliated colonies of Candida albicans with denture stomatitis: an in vivo/in vitro study. , 2007, The International journal of prosthodontics.

[6]  C. Scully,et al.  Denture-related stomatitis: identification of aetiological and predisposing factors - a large cohort. , 2007, Journal of oral rehabilitation.

[7]  J. Pereira,et al.  ASSESSMENT OF THE PREVALENCE INDEX ON SIGNS OF COMBINATION SYNDROME IN PATIENTS TREATED AT BAURU SCHOOL OF DENTISTRY, UNIVERSITY OF SAO PAULO , 2007, Journal of applied oral science : revista FOB.

[8]  S. Yannikakis,et al.  Comparison of denture stomatitis prevalence in 2 population groups. , 2006, The International journal of prosthodontics.

[9]  J. Cunha-Cruz.  One in 3 removable denture users in the United States has denture stomatitis. , 2006, The journal of evidence-based dental practice.

[10]  J. Shulman,et al.  Risk factors associated with denture stomatitis in the United States. , 2005 .

[11]  K. Okuma,et al.  Occlusal pressure pattern analysis of complete dentures for evaluation of occlusal adjustment. , 2004, Journal of medical and dental sciences.

[12]  Y. T. Sousa,et al.  Denture-related oral mucosal lesions in a Brazilian school of dentistry. , 2004, Journal of oral rehabilitation.

[13]  G. Carlsson,et al.  The combination syndrome: a literature review. , 2003, The Journal of prosthetic dentistry.

[14]  P. Rompré,et al.  Reassessing the presence of Candida albicans in denture-related stomatitis. , 2003, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[15]  R. Langlais,et al.  Oral mucosal conditions in elderly dental patients. , 2002, Oral diseases.

[16]  E. Kazazoğlu,et al.  Oral hygiene habits, denture cleanliness, presence of yeasts and stomatitis in elderly people. , 2002, Journal of oral rehabilitation.

[17]  J. Rugh,et al.  Relationship between oral function and occlusal support in denture wearers. , 2000, Journal of oral rehabilitation.

[18]  M. MacEntee,et al.  Age, gender, dentures and oral mucosal disorders. , 2008, Oral diseases.

[19]  G. Carlsson,et al.  Clinical morbidity and sequelae of treatment with complete dentures. , 1998, The Journal of prosthetic dentistry.

[20]  H. Thean,et al.  Denture stomatitis in an elderly edentulous Asian population. , 1997, Journal of oral rehabilitation.

[21]  T Hara,et al.  Effect of continuous pressure on histopathological changes in denture-supporting tissues. , 1997, Journal of oral rehabilitation.

[22]  Steven M. Morgano,et al.  Complete edentulism and denture use for elders in New England. , 1996, The Journal of prosthetic dentistry.

[23]  D. Bohnenkamp.  Traumatic stomatitis following an intraoral denture reline: a clinical report. , 1996, The Journal of prosthetic dentistry.

[24]  A. Cutando,et al.  Denture stomatitis: quantification of interleukin-2 production by mononuclear blood cells cultured with Candida albicans. , 1996, The Journal of prosthetic dentistry.

[25]  S. Minagi,et al.  An experimental study on histopathological changes in the tissue covered with denture base without occlusal pressure. , 1994, Journal of oral rehabilitation.

[26]  N. V. van Roekel,et al.  Denture sore mouth. , 1987, Dermatologic clinics.

[27]  M. MacEntee.  The prevalence of edentulism and diseases related to dentures--a literature review. , 1985, Journal of oral rehabilitation.

[28]  I. Paunio,et al.  Prevalence of oral mucosal lesions associated with wearing removable dentures in Finnish adults. , 1984, Community dentistry and oral epidemiology.

[29]  Heath Mr.  The effect of maximum biting force and bone loss upon masticatory function and dietary selection of the elderly. , 1982 .

[30]  T. Osterberg,et al.  Relationship between dental state and dietary intake in 70-year-old males and females in Göteborg, Sweden: a population study. , 1982, Journal of oral rehabilitation.

[31]  E. Budtz-Jørgensen,et al.  Oral mucosal lesions associated with the wearing of removable dentures. , 1981, Journal of oral pathology.

[32]  G. Carlsson,et al.  Chewing Ability in Relation to Dental and General Health , 1981 .

[33]  G. Carlsson,et al.  Chewing efficiency and state of dentition. A methodologic study. , 1978, Acta odontologica Scandinavica.

[34]  E. Bearn.  Effect of different occlusal profiles on the masticatory forces transmitted by complete dentures. An evaluation , 1973, British Dental Journal.

[35]  E. Kelly.  Changes caused by a mandibular removable partial denture opposing a maxillary complete denture. , 2003, The Journal of prosthetic dentistry.

[36]  E. Budtz-Jørgensen,et al.  Denture stomatitis. II. The effect of antifungal and prosthetic treatment. , 1970, Acta odontologica Scandinavica.

[37]  E. Budtz-Jørgensen,et al.  Denture stomatitis. I. The etiology in relation to trauma and infection. , 1970, Acta odontologica Scandinavica.